How much rates vary
Facilitymedian $490 · 10th to 90th $251 to $891Professionalmedian $309 · 10th to 90th $166 to $933
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $912.01 | Facility | None | $199.53 | $199.53 | $912.01 |
Aetna Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $912.01 | Professional | None | $199.53 | $199.53 | $912.01 |
AllWays Health Partners Setting Facility Modifier None Typical Low $354.81 Median $416.87 Typical High $1,122.02 | Facility | None | $354.81 | $416.87 | $1,122.02 |
AllWays Health Partners Setting Professional Modifier None Typical Low $169.82 Median $467.74 Typical High $2,454.71 | Professional | None | $169.82 | $467.74 | $2,454.71 |
BCBS Massachusetts Setting Facility Modifier None Typical Low $457.09 Median $588.84 Typical High $794.33 | Facility | None | $457.09 | $588.84 | $794.33 |
BCBS Massachusetts Setting Professional Modifier None Typical Low $295.12 Median $309.03 Typical High $537.03 | Professional | None | $295.12 | $309.03 | $537.03 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $263.03 | Facility | None | $229.09 | $229.09 | $263.03 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $234.42 | Professional | None | $165.96 | $165.96 | $234.42 |
Fallon Health Setting Facility Modifier None Typical Low $83.18 Median $3,630.78 Typical High $9,772.37 | Facility | None | $83.18 | $3,630.78 | $9,772.37 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $154.88 Median $389.05 Typical High $416.87 | Professional | None | $154.88 | $389.05 | $416.87 |
Health New England Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $245.47 | Professional | None | $218.78 | $218.78 | $245.47 |
Mass General Brigham Setting Facility Modifier None Typical Low $354.81 Median $416.87 Typical High $1,122.02 | Facility | None | $354.81 | $416.87 | $1,122.02 |
Mass General Brigham Setting Professional Modifier None Typical Low $169.82 Median $467.74 Typical High $2,454.71 | Professional | None | $169.82 | $467.74 | $2,454.71 |
United Setting Facility Modifier None Typical Low $229.09 Median $251.19 Typical High $467.74 | Facility | None | $229.09 | $251.19 | $467.74 |
United Setting Professional Modifier None Typical Low $151.36 Median $229.09 Typical High $436.52 | Professional | None | $151.36 | $229.09 | $436.52 |
Well Sense Setting Facility Modifier None Typical Low $354.81 Median $478.63 Typical High $707.95 | Facility | None | $354.81 | $478.63 | $707.95 |
Well Sense Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $338.84 | Professional | None | $281.84 | $281.84 | $338.84 |
4 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $100.00 Median $100.00 Typical High $457.09 | Professional | 52 · Reduced service | $100.00 | $100.00 | $457.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $39.81 Typical High $181.97 | Professional | 53 · Discontinued | $39.81 | $39.81 | $181.97 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $29.51 Median $29.51 Typical High $134.90 | Professional | 55 · Aftercare only | $29.51 | $29.51 | $134.90 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $19.95 Median $19.95 Typical High $91.20 | Professional | 56 · Pre-op care only | $19.95 | $19.95 | $91.20 |
Where Massachusetts sits
The same service costs 3.5 times more in Hawaii than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Massachusetts· 6th of 51
$347
HI $589DE $166
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.